Active NPI
Caitlin Metcalf, PHD
- Psychologist
- San Mateo, CA
National Provider Identifier
1578025748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY30729
- Practice address
- 177 Bovet Rd Ste 300
San Mateo, CA 94402-3140 - Phone
- (650) 627-1618
- NPI assigned
- Apr 4, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY30729 | CA | Primary |
Addresses
Primary practice location
177 Bovet Rd Ste 300
San Mateo, CA 94402-3140
Mailing address
177 Bovet Rd Ste 300
San Mateo, CA 94402-3140
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY30729 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554336000000",
"number": "1578025748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "177 BOVET RD STE 300",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944023140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "177 BOVET RD STE 300",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944023140",
"telephone_number": "650-627-1618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "METCALF",
"first_name": "CAITLIN",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-04",
"last_updated": "2019-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY30729",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Mateo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.